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NPI Code Detail

MEDICARE: K. GEORGE YOUNAN MD PA

MEDICARE:   K. GEORGE  YOUNAN  MD PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician29755NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568442648
Entity Type Code : Individual
Provider Name (Legal Business Name) : K. GEORGE YOUNAN MD PA
Provider Business Mailing Address
First Line : 1145 BORDENTOWN AVE
Second Line : STE #10
City : PARLIN
State : NJ
Zip : 08859
Country : US
Telephone Number : 732-727-5376
Fax Number : 732-727-1391
Provider Business Practice Location Address
First Line : 1145 BORDENTOWN AVE
Second Line : STE #10
City : PARLIN
State : NJ
Zip : 08859
Country : US
Telephone Number : 732-727-0400
Fax Number : 732-727-1391
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2006
Last Update Date : 12/12/2018

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Directions to “ K. GEORGE YOUNAN MD PA” Practice Location

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